Deviant Behavior (CLP 6169) Fall 2012 Dr. Greg J. Neimeyer Room 258 Department of Psychology Tues: 7:30-10:30am Course Précis This course provides a doctoral-level introduction to issues of psychopathology and psychodiagnosis. It includes an understanding of the construction and deconstruction of psychiatric diagnoses, the cultural and historical contingency of psychiatric diagnosis, and the processes of clinical interviewing. Prerequisites include successful completion of coursework in Abnormal Psychology, Personality Psychology, and graduate-level practica. Course Objectives To develop familiarity with the historical and cultural contingencies associated with the construction and deconstruction of the concept of psychopathology To develop competence in utilizing the Diagnostic and Statistical Manual-Fourth Edition (DSM-IV-TR) To develop skills in conducting and managing a diagnostic interview, and in developing a psychodiagnostic assessment To be able to effectively discuss and present on issues of mental health Course Materials Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition Text Revision (DSM-IV-TR). Washington, DC: American Psychiatric Association Press, 2000. Shorter, E. (1997) A History of Psychiatry: From the Era of the Asylum to the Age of Prozac. New York: Wiley Horwitz, A. (2002) Creating Mental Illness. Chicago: University of Chicago Press Course Structure This course will be divided into two tracks, each dedicated to a specific goal. One part of the course addresses the construction of mental illness and the other to the deconstruction of mental illness. The first part of each class will be dedicated to the construction of mental disorders where we will address the development of specific disorders and their diagnosis, as well as the historical developments that have contributed to contemporary understandings. This track outlines the dominant understanding of psychological disorders in contemporary Western civilization and closely follows the contours of the medical model. The primary texts for this part of the class will be A History of Psychiatry (Shorter) and the Diagnostic and Statistical Manual -IV-TR. The second track of each class will be dedicated to the deconstruction of mental illness. The purpose of this track is to encourage critical appraisal and reflection regarding aspects of psychiatric diagnosis and contemporary contexts that support it. To support this appraisal we will be reading a variety of critiques of the DSM , as well as the book, Creating Mental Illness. The goal of the course is to develop dialectic between the construction and deconstruction of mental illness in a way that sharpens your understanding and appreciation of multiple perspectives on mental illness and psychological distress. Course Requirements Your grade will be based on class discussion, two topical presentations, a reaction to an autobiography of mental illness and a personal project on a topic of your choosing. Class Discussion. This class is a small, discussion-based seminar course that relies on the intensive participation of everyone involved. In addition to your general participation in the course you will be involved in leading class discussions. This class discussion will focus on aspects of psychopathology (A History of Psychiatry) and the deconstruction of psychopathology (Creating Mental Illness). Class discussion and participation is worth a maximum of 100 points. Topical Presentations. You will have responsibility for two class presentations on selected clinical disorders. Each presentation is worth 50 points for a maximum possible of 100 points. Autobiographical Account. The purpose of the Autobiographical Account is to provide you a firstperson window onto the experience of psychological disorders or emotional distress. You can choose to read any autobiography of mental illness that you would like and provide a brief reaction paper to that account, according to your interests. The reaction paper is worth a maximum of 100 points. Personal Project. The goal of the personal project is to encourage you to extend your knowledge and/or application of course-related material in novel and personally relevant ways. You define the content, nature, format and media utilized for your personal project which could involve conducting surveys, producing a creative work, or any other creative extension or application of relevant course material. Maximum point value is 100 points. EXTRA-CREDIT BONUS. At the end of the semester you will have an opportunity to complete an optional DSV-IV-TR test for a maximum of 25 extra-credit points. Your final grade is determined by the total number of points you accumulate throughout the semester. Possible points and associated grades are as follows: Assignment Points Class discussion Autobiographical Account Personal Project 100 points 100 points 100 points Class Presentations (2) Total Possible Points 100 points 400 points Bonus: DSM-IV-TR Test 25 points Grading Scale Points 350 and above 325-449 300-424 275-399 250-374 Below 250 Grade A B+ B C+ C D CLASS SCHEDULE Week Project Due Date DECONSTRUCTION 1 CONSTRUCTION Introduction to Psychopathology and Psychodiagnosis 2 Brown: Epistemological differences within psychological science Overview of the DSM-IV-TR (pp xxiii-37) 3 Kraeplin and His Influence on Modern Classification (Blashfield) The Neo-Kraeplinian Movement in American Society (Blashfield) The Neo-Kraeplinian Movement and the Medical Model (Blashfield) Dilemmas in the Pathway of the DSM-IV (Carson) Autobiography Titles Due Fundamentals of Taxonomy (Hempel) 4 Disorder as Harmful Dysfunction Diagnostic Interviewing (Wakefield) Presentation Topics Due 5 The Limits of Psychiatric Knowledge and Problems of Classification Criteriological Diagnosis DSM-IV and Cultural Considerations 6 Discovery, Invention, and the Expansion of the Modern DMSs (Houts) History: Chapters 3 & 4 [2. ] Disorders of Infancy, Childhood & Adolescence (39-134) History: Chapters 1 & 2 [1. [ A. 7 Phenomenological Critique Phenomenological and Criteriological Concerns 9 Creating MI: Intro and Chapter 1 [5. ] ] History: Chapters 5 & 6 [3. ] Disorders of Infancy, Childhood & Adolescence (39-134) [ B. 8 ] ] History: Chapters 7 & 8 [4. ] Substance Disorders [C. Psychotic Disorders (297-344) [D. ] [E. Personal Project Concepts Due ] ] 10 11 Creating MI: Chapters 4 & 5 [7. ] Anxiety disorders (429-484) [H. 12 Creating MI: Chapters 6 & 7 [8. ] ] [ I. ] Somatoform Factors & Dissociative (485-528) [J. ] [K. ] 13 14 Creating MI: Conclusion [10. 15 Personal Projects 16 Course Evaluations THANKSGIVING ] Adjustment Disorders & Personality Disorders (679-730) [N. ] DSM-IV Test Personal Projects Due Autobiography Papers Due Abnormal Psychology Autobiographies An Unquiet Mind by K.R. Jamison (bipolar disorder) Nobody Nowhere: The Extraordinary Autobiography of an Autistic by D. Williams (autism) Darkness Visible: A Memoir of Madness by W. Styron (depression) Out of the Depths by A.T. Boisin (schizophrenia) Girl Interrupted by S. Kaysen (borderline personality disorder) Too Much Anger, Too Many Tears by J. Gotkin & P. Gotkin (schizophrenia) Getting Better: Inside Alcoholics Anonymous by N. Robertson (alcoholism) Am I Still Visible? A Woman's Triumph Over Anorexia Nervosa by S. Heater (anorexia) Welcome Silence: My Triumph Over Schizophrenia by C.L. North (schizophrenia) A Brilliant Madness: Living With Manic-Depressive Illness by P. Duke (bipolar disorder) A Drinking Life: A Memoir by P. Hamill (alcoholism) Leaves from Many Seasons by O.H. Mowrer (depression) The Liar's Club: A Memoir by M. Karr (family dysfunction) Diary of a Fat Housewife: A True Story of Humor, Heartbreak and Hope by R. Green (eating disorder) Drinking: A Love Story by C. Knapp (alcoholism) Codependent No More by M. Beattie (substance abuse) The Captive Imagination by C.P. Gilman (diagnosis uncertain) Memoirs of an Amnesiac by O. Levant (substance abuse) Pain: The Essence of a Mental Illness by A.E. Anderson (bipolar disorder) Starving for Attention by C.B. O'Neill (anorexia) Nobody's Child by M. Balter & R. Katz (depression or schizophrenia) The Beast: A Reckoning With Depression by T. Thompson (depression) The Eden Express by M. Vonnegut (schizophrenia) Phantom illness: Shattering the Myths of Hypochondria by C. Cantor (hypochondriasis) Afraid of Everything: A Personal History of Agoraphobia by D.M. Woods (agoraphobia) When the Music's Over: My Journey Into Schizophrenia by R. Burke (schizophrenia) Father Have I Kept My Promise? by E. Weisskopf-Joelson (schizophrenia) Call Me Anna: The Autobiography of Patty Duke by P. Duke (bipolar disorder) Beyond All Reason by M. Coate (schizophrenia) An Angel at My Table: An Autobiography by J. Frame (schizophrenia) Keeping Secrets by S. Somers (dysfunctional family) Breakdown by N.S. Sutherland (bipolar disorder) Now You Know by K. Dukakis (substance abuse) Secret Life: An Autobiography by M. Ryan (childhood sexual abuse) Prozac Nation: Young and Depressed in America by E. Wurtzel (depression) When Rabbit Howls: The Troops for Truddi Chase by T. Chase (multiple personality disorder) Women of the Asylum: Voices From Behind the Walls 1840-1945 by J. Geller (life in mental hospitals) The Loony-Bin Trip by K. Millett (bipolar disorder) Undercurrents: A Life Beneath the Surface, Harper San Francisco Undercurrents: A Therapist's Reckoning With Her Own Depression by M. Manning (depression) A Mind of My Own: The Woman Who Was Known as Eve Tells the Story of Her Triumph by C. Sizemore (multiple personality disorder)